AMARDEEP GAVIT

Automated Claim Intelligent Decisioning Solution

Scope: Product Ideation, Development, Pricing Strategy, Client Engagement

• Detailed product offerings as orchestration for health claim adjudication to minimize operational cost & reduce fraud & waste abuse.

IHX Digitization Suite – Medical Autoencoder, Lab Digitizer, Bill Digitizer & Enhancements

Scope: AI Model Development, Web Applications, Operations, Product Enhancements, Client Engagements

• Defined & implemented scope of AI Model, aligning requirements of Clients & Integrated Product strategy with consultation of strategic stakeholders of the company
• Designed output structure (Data Standardization using ICD, SNOMED, LOINC Codes) & data analytics reporting in coordination with Clients & Sales team for convenient consumption of Digitized outputs
• Prepared clinical data & rules for training & improvement with understanding of AI model functionalities
• Developed 2 new web applications & enhanced existing applications for efficient Quality Control Operation
• Introduced internal user management application for smooth client, vendor & user onboarding
• Facilitated 2 vendor onboarding, training, info sec-compliance to streamline Quality Check Operations
• Co-ordinated with Client, Sales, AI, Web Applications & Operations teams for 5+ successful POCs
• Customized product offerings for added value of digitized data as per Client & IHX’s Strategic requirements.

IHX Claims Management Platform

Scope: User Experience Enhancements, New Feature Development, E-mail engagement campaigns

• Enhanced features on claims management platform, based on feedback from consumer interactions & payers’ input expectations from hospitals for faster claim approvals
• Enhanced quality of claim submission on IHX Claims Management platform with dynamic document submission suggestions feature to reduce claim query rate
• Curated hospital e-mail marketing communication campaigns.

State Technical Support Unit – Uttar Pradesh (STSU-UP)

Scope: New Business Unit on-boarding

• Managed project activities, timelines, & deliverables in consultation with Central TB Division, National Health Mission, & State level stakeholders of Uttar Pradesh
• Defined the detailed work plan, & managed the team of 12 domain experts against the work plan.
• Facilitated process of Request for Proposal (RFP) to implement National Tuberculosis Elimination Program across 36 districts in Uttar Pradesh

Uttar Pradesh Technical Support Unit (UPTSU)

Scope: New Business Unit formation, Strategic partnerships, Supply chain consultation, Human Resource consultation

• Defined SOPs of drugs & equipment Tendering process minimizing Turn Around Time & improve transparency
• Monitored supply chain status of 295 essential drugs & provided solutions for identified gaps
• Built vendor assessment tool & monitored performance of individual vendors using past data
• Provided data-driven solutions across production, hiring, training, & performance management systems for various cadres working under Department of Health, Government of Uttar Pradesh (U.P.)
• Developed roles, activities, competencies, & competencies assessment tool for ANMs across U.P.
• Spearheaded project of re-activation of Government Auxiliary Nurse Midwife training institutes across U.P.
• Collaborated with partner organizations to develop roadmap for Public Health Surveillance System for state of Uttar Pradesh (U.P.)
• Conducted research across state of U.P. for landscaping various components under TB control program
• Ensured coordination between government stakeholders & internal cross-functional teams
• Co-ordinated the recruitment process for 12 positions created for the newly formed business unit

Rural Hospital Khondamali, Nandurbar (Jan '19 – May '19)

Primary Healthcare Centre Zamanzar, Nandurbar (Oct '18 – Dec '18)

District Tuberculosis Centre, Nandurbar (May '18 – Oct '18)

Sub District Hospital Bhor, Pune (Oct '17 – Feb '18)

• Worked with International & National Org. (WHO, TISS, PSI, NACO) to control Tuberculosis
• Diagnosed & treated 15000+ patients, Assisted Law & Enforcement in 60+ Medico Legal Cases
• Managed Funds of 30+ lakhs for Government policy implementation & infrastructure management
• Disbursed Policy benefits to over 2000+ people with Direct Benefit Transfer; implemented by GOI
• Headed Medicine, Structural, Policy Audits,Surveys by Govt. of Maharashtra at Primary Health Centre
• Mentored 40+ team members for newer essential advancements in healthcare techniques & protocols
• Monitored health statistics of 3000+ population from 20+ villages & 10+ sub centre clinics’ functions
• Led team of 12 to rank 1st out of 10+ hospitals in Kayakalp, initiative by Government of Maharashtra
• Spearheaded implementation of 5+ Govt. of India Schemes (led team of 30) to benefit 400+ patients
• Headed 20+ member's team over month-long Measles Rubella Campaign to vaccinate 1000+ children

Acute Myeloid Leukemia (AML) – Epidemiology & Market Landscape (US-based Study)

Scope: Market research and demand forecasting

• Analyzed Acute Myeloid Leukemia market in US with estimated 19,940 newly affected population,2020
• Mapped Current & Future market landscape of AML in US using claims analysis, research reports
• Computed market size of top 5 brands in therapy area from Annual revenue & financial reports
• Explored~50 emerging formulations by key firms under different phases of drug development
• Detailed, Analyzed & Compared clinical performance of FDA approved Brands in United States